Personal Health Device Implementation Guide
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Personal Health Device Implementation Guide, published by HL7 International / Health Care Devices. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phd/ and changes regularly. See the Directory of published versions

: Example of a first time Bundle upload - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-example-1"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:5b7842fe-978d-4182-a41f-0d07a8617bc2"/>
    <resource>
      <Patient>
        <id value="patient-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-001"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-001</b></p><a name="patient-001"> </a><a name="hcpatient-001"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdPatient.html">PhdPatient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Sisansarah Gyannea  (no stated gender), DoB Unknown ( Medical record number: sisansarahId)</p><hr/></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="urn:oid:2.999.1.2.3.4.5.6.7.8.10"/>
          <value value="sisansarahId"/>
        </identifier>
        <name>
          <family value="Gyannea"/>
          <given value="Sisansarah"/>
        </name>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
      <ifNoneExist
                   value="identifier=urn:oid:2.9991.2.3.4.5.6.7.8.10|sisansarahId"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294"/>
    <resource>
      <Device>
        <id value="phg-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_phg-001"> </a><p class="res-header-id"><b>Generated Narrative: Device phg-001</b></p><a name="phg-001"> </a><a name="hcphg-001"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhgDevice.html">PhgDevice</a></p></div><p><b>identifier</b>: IEEE 11073 System Identifier/4C-4E-49-12-34-56-FF-FF</p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 531981}">Application Hosting Device, a.k.a. PHG</span></p><h3>Specializations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>SystemType</b></td><td><b>Version</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:iso:std:iso:11073:10101 528457}">Device following the IEEE 11073-10206 standard but no specific specialization</span></td><td>2</td></tr></table><h3>Versions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:iso:std:iso:11073:10101 532352}">Continua version</span></td><td>6.0</td></tr></table><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532353}">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs 4}">Pulse Oximeter certified</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532355}">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 0}">observation-upload-soap</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532355}">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 3}">observation-upload-hdata</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532355}">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 7}">observation-upload-fhir</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532355}">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 2}">capabilities</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532355}">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 6}">aps</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 532354.0}">negated-regulation-status</span></p><p><b>valueCode</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Device is not regulated</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 68220}">MDC_TIME_SYNC_PROTOCOL</span></p><p><b>valueCode</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532226}">MDC_TIME_SYNC_NTPV4</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 68221}">MDC_TIME_SYNC_ACCURACY</span></p><p><b>valueQuantity</b>: 120000000 us<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeus = 'us')</span></p></blockquote></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ContinuaDeviceIdentifiers"/>
              <code value="SYSID"/>
              <display value="IEEE 11073 System Identifier"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680"/>
          <value value="4C-4E-49-12-34-56-FF-FF"/>
        </identifier>
        <type>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="531981"/>
            <display value="MDC_MOC_VMS_MDS_AHD"/>
          </coding>
          <text value="Application Hosting Device, a.k.a. PHG"/>
        </type>
        <specialization>
          <systemType>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="528457"/>
              <display value="MDC_DEV_SPEC_PROFILE_GENERIC"/>
            </coding>
            <text
                  value="Device following the IEEE 11073-10206 standard but no specific specialization"/>
          </systemType>
          <version value="2"/>
        </specialization>
        <version>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532352"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_VERSION"/>
            </coding>
            <text value="Continua version"/>
          </type>
          <value value="6.0"/>
        </version>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532353"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST"/>
            </coding>
            <text
                  value="Each element of the certified interfaces list as a separate property"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs"/>
              <code value="4"/>
              <display value="Pulse Oximeter certified"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532355"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"/>
            </coding>
            <text
                  value="Each element of the certified interfaces list as a separate property"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="0"/>
              <display value="observation-upload-soap"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532355"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"/>
            </coding>
            <text
                  value="Each element of the certified interfaces list as a separate property"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="3"/>
              <display value="observation-upload-hdata"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532355"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"/>
            </coding>
            <text
                  value="Each element of the certified interfaces list as a separate property"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="7"/>
              <display value="observation-upload-fhir"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532355"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"/>
            </coding>
            <text
                  value="Each element of the certified interfaces list as a separate property"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="2"/>
              <display value="capabilities"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532355"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"/>
            </coding>
            <text
                  value="Each element of the certified interfaces list as a separate property"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="6"/>
              <display value="aps"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ASN1ToHL7"/>
              <code value="532354.0"/>
              <display value="negated-regulation-status"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
            <text value="Device is not regulated"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68220"/>
              <display value="MDC_TIME_SYNC_PROTOCOL"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532226"/>
              <display value="MDC_TIME_SYNC_NTPV4"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68221"/>
              <display value="MDC_TIME_SYNC_ACCURACY"/>
            </coding>
          </type>
          <valueQuantity>
            <value value="120000000"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="us"/>
          </valueQuantity>
        </property>
      </Device>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Device"/>
      <ifNoneExist
                   value="identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|4C-4E-49-12-34-56-FF-FF"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a"/>
    <resource>
      <Device>
        <id value="phd-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_phd-001"> </a><p class="res-header-id"><b>Generated Narrative: Device phd-001</b></p><a name="phd-001"> </a><a name="hcphd-001"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdDevice.html">PhdDevice</a></p></div><p><b>identifier</b>: IEEE 11073 System Identifier/00-1C-05-04-00-00-78-25, Bluetooth MAC Address/00-1C-05-00-78-25</p><p><b>manufacturer</b>: Nonin Medical, Inc.</p><p><b>serialNumber</b>: 0400007825</p><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>Nonin_Medical_Inc._323552</td><td>User Friendly name</td></tr></table><p><b>modelNumber</b>: Model 3150</p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 65573}">Personal Health Device</span></p><h3>Specializations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>SystemType</b></td><td><b>Version</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:iso:std:iso:11073:10101 528388}">Pulse Oximeter</span></td><td>1</td></tr></table><blockquote><p><b>version</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 531976}">Firmware revision</span></p><p><b>value</b>: 0.9C</p></blockquote><blockquote><p><b>version</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532352}">Continua version</span></p><p><b>value</b>: 1.0</p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532353}">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs 4}">Pulse Oximeter certified</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 532354.0}">negated-regulation-status</span></p><p><b>valueCode</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">Device is regulated</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 68220}">Time synchronization protocol</span></p><p><b>valueCode</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 532224}">No time synchronization</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 68219.0}">real time clock supported</span></p><p><b>valueCode</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 68219.1}">setting the time supported</span></p><p><b>valueCode</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 68219.2}">relative time supported</span></p><p><b>valueCode</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 68222}">Resolution of absolute time clock</span></p><p><b>valueQuantity</b>: 1000000 us<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeus = 'us')</span></p></blockquote></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ContinuaDeviceIdentifiers"/>
              <code value="SYSID"/>
              <display value="IEEE 11073 System Identifier"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680"/>
          <value value="00-1C-05-04-00-00-78-25"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ContinuaDeviceIdentifiers"/>
              <code value="BTMAC"/>
              <display value="Bluetooth MAC Address"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/eui-48/bluetooth"/>
          <value value="00-1C-05-00-78-25"/>
        </identifier>
        <manufacturer value="Nonin Medical, Inc."/>
        <serialNumber value="0400007825"/>
        <deviceName>
          <name value="Nonin_Medical_Inc._323552"/>
          <type value="user-friendly-name"/>
        </deviceName>
        <modelNumber value="Model 3150"/>
        <type>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="65573"/>
            <display value="MDC_MOC_VMS_MDS_SIMP"/>
          </coding>
          <text value="Personal Health Device"/>
        </type>
        <specialization>
          <systemType>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="528388"/>
              <display value="MDC_DEV_SPEC_PROFILE_PULS_OXIM"/>
            </coding>
            <text value="Pulse Oximeter"/>
          </systemType>
          <version value="1"/>
        </specialization>
        <version>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="531976"/>
              <display value="MDC_ID_PROD_SPEC_FW"/>
            </coding>
            <text value="Firmware revision"/>
          </type>
          <value value="0.9C"/>
        </version>
        <version>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532352"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_VERSION"/>
            </coding>
            <text value="Continua version"/>
          </type>
          <value value="1.0"/>
        </version>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532353"/>
              <display value="MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST"/>
            </coding>
            <text
                  value="Each element of the certified interfaces list as a separate property"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs"/>
              <code value="4"/>
              <display value="Pulse Oximeter certified"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ASN1ToHL7"/>
              <code value="532354.0"/>
              <display value="negated-regulation-status"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="N"/>
              <display value="No"/>
            </coding>
            <text value="Device is regulated"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68220"/>
              <display value="MDC_TIME_SYNC_PROTOCOL"/>
            </coding>
            <text value="Time synchronization protocol"/>
          </type>
          <valueCode>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532224"/>
              <display value="MDC_TIME_SYNC_NONE"/>
            </coding>
            <text value="No time synchronization"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ASN1ToHL7"/>
              <code value="68219.0"/>
              <display value="mds-time-capab-real-time-clock"/>
            </coding>
            <text value="real time clock supported"/>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ASN1ToHL7"/>
              <code value="68219.1"/>
              <display value="mds-time-capab-set-clock"/>
            </coding>
            <text value="setting the time supported"/>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ASN1ToHL7"/>
              <code value="68219.2"/>
              <display value="mds-time-capab-relative-time"/>
            </coding>
            <text value="relative time supported"/>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68222"/>
              <display value="MDC_TIME_RES_ABS"/>
            </coding>
            <text value="Resolution of absolute time clock"/>
          </type>
          <valueQuantity>
            <value value="1000000"/>
            <unit value="us"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="us"/>
          </valueQuantity>
        </property>
      </Device>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Device"/>
      <ifNoneExist
                   value="identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|00-1C-05-04-00-00-78-25"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:323f0631-6bca-47aa-8adf-69fdaf910108"/>
    <resource>
      <Observation>
        <id value="cts-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cts-001"> </a><p class="res-header-id"><b>Generated Narrative: Observation cts-001</b></p><a name="cts-001"> </a><a name="hccts-001"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdCoincidentTimeStampObservation.html">PhdCoincidentTimeStampObservation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 67975}">Uses Absolute time clock</span></p><p><b>subject</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-c87cc91b-8b31-4e6f-b636-75e52891d10a">Bundle: type = transaction</a></p><p><b>effective</b>: 2019-09-20 12:40:07-0400</p><p><b>value</b>: 2019-09-20 12:40:09-0400</p><p><b>device</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-d44b0315-947e-4da5-bb6d-533eceb7a294">Bundle: type = transaction</a></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="67975"/>
            <display value="MDC_ATTR_TIME_ABS"/>
          </coding>
          <text value="Uses Absolute time clock"/>
        </code>
        <subject>
          <reference value="urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a"/>
        </subject>
        <effectiveDateTime value="2019-09-20T12:40:07.936-04:00"/>
        <valueDateTime value="2019-09-20T12:40:09.000-04:00"/>
        <device>
          <reference value="urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294"/>
        </device>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:752b1a27-bbed-47d6-bbb8-b649a5261c52"/>
    <resource>
      <Observation>
        <id value="pulse-ox-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_pulse-ox-001"> </a><p class="res-header-id"><b>Generated Narrative: Observation pulse-ox-001</b></p><a name="pulse-ox-001"> </a><a name="hcpulse-ox-001"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdNumericObservation.html">PhdNumericObservation</a></p></div><p><b>Observation Gateway Device</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-d44b0315-947e-4da5-bb6d-533eceb7a294">Bundle: type = transaction</a></p><p><b>Coincident Timestamp Reference</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-323f0631-6bca-47aa-8adf-69fdaf910108">Bundle: type = transaction</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories phd}">PHD generated Observation</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 150456}, {http://loinc.org 2708-6}">MDC_PULS_OXIM_SAT_O2</span></p><p><b>subject</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-5b7842fe-978d-4182-a41f-0d07a8617bc2">Bundle: type = transaction</a></p><p><b>effective</b>: 2019-09-20 12:40:16-0400</p><p><b>value</b>: 98 %<span style="background: LightGoldenRodYellow"> (Details: UCUM  code% = '%')</span></p><p><b>device</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-c87cc91b-8b31-4e6f-b636-75e52891d10a">Bundle: type = transaction</a></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:iso:std:iso:11073:10101 68193}">Supplemental information</span></td><td><span title="Codes:{urn:iso:std:iso:11073:10101 150588}">Stable mean</span></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
          <valueReference>
            <reference value="urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference">
          <valueReference>
            <reference value="urn:uuid:323f0631-6bca-47aa-8adf-69fdaf910108"/>
          </valueReference>
        </extension>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories"/>
            <code value="phd"/>
          </coding>
        </category>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="150456"/>
            <display value="MDC_PULS_OXIM_SAT_O2"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2708-6"/>
            <display value="Oxygen saturation in Arterial blood"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:5b7842fe-978d-4182-a41f-0d07a8617bc2"/>
        </subject>
        <effectiveDateTime value="2019-09-20T12:40:16.936-04:00"/>
        <valueQuantity>
          <value value="98"/>
          <unit value="%"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </valueQuantity>
        <device>
          <reference value="urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a"/>
        </device>
        <component>
          <code>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68193"/>
              <display value="MDC_ATTR_SUPPLEMENTAL_TYPES"/>
            </coding>
            <text value="Supplemental information"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="150588"/>
              <display value="MDC_MODALITY_SPOT"/>
            </coding>
            <text value="Stable mean"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:9b676667-4eea-4837-8c6e-df5c1bce9b38"/>
    <resource>
      <Observation>
        <id value="pulse-ox-002"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_pulse-ox-002"> </a><p class="res-header-id"><b>Generated Narrative: Observation pulse-ox-002</b></p><a name="pulse-ox-002"> </a><a name="hcpulse-ox-002"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdNumericObservation.html">PhdNumericObservation</a></p></div><p><b>Observation Gateway Device</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-d44b0315-947e-4da5-bb6d-533eceb7a294">Bundle: type = transaction</a></p><p><b>Coincident Timestamp Reference</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-323f0631-6bca-47aa-8adf-69fdaf910108">Bundle: type = transaction</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories phd}">PHD generated Observation</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 149530}, {http://loinc.org 8867-4}">MDC_PULS_OXIM_PULS_RATE</span></p><p><b>subject</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-5b7842fe-978d-4182-a41f-0d07a8617bc2">Bundle: type = transaction</a></p><p><b>effective</b>: 2019-09-20 12:40:16-0400</p><p><b>value</b>: 47 {beat}/min}<span style="background: LightGoldenRodYellow"> (Details: UCUM  code/min = '/min')</span></p><p><b>device</b>: <a href="Bundle-bundle-example-1.html#urn-uuid-c87cc91b-8b31-4e6f-b636-75e52891d10a">Bundle: type = transaction</a></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:iso:std:iso:11073:10101 68193}">Supplemental information</span></td><td><span title="Codes:{urn:iso:std:iso:11073:10101 150588}">Stable mean</span></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
          <valueReference>
            <reference value="urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference">
          <valueReference>
            <reference value="urn:uuid:323f0631-6bca-47aa-8adf-69fdaf910108"/>
          </valueReference>
        </extension>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories"/>
            <code value="phd"/>
          </coding>
        </category>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="149530"/>
            <display value="MDC_PULS_OXIM_PULS_RATE"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8867-4"/>
            <display value="Heart rate"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:5b7842fe-978d-4182-a41f-0d07a8617bc2"/>
        </subject>
        <effectiveDateTime value="2019-09-20T12:40:16.936-04:00"/>
        <valueQuantity>
          <value value="47"/>
          <unit value="{beat}/min}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/min"/>
        </valueQuantity>
        <device>
          <reference value="urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a"/>
        </device>
        <component>
          <code>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68193"/>
              <display value="MDC_ATTR_SUPPLEMENTAL_TYPES"/>
            </coding>
            <text value="Supplemental information"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="150588"/>
              <display value="MDC_MODALITY_SPOT"/>
            </coding>
            <text value="Stable mean"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
</Bundle>